There is definitely a trend of dimishing return with
PMMA, which suggests there is a limit to the amount of collagen that can be produced, or that the beads have to be evenly spaced apart. For example, lets say each bead becomes surrounded by a 1mm (i know that is way too much, but an easy number to use) thick layer of collagen, then unless each bead is over 1mm away from the next, then many beads are going to share than same collagen layer. This is why I think the higher the concentration the denser the tissue, but this doesn\'t mean much or any greater volume. Hence we\'ve seen a guy get over 0.5\" with 15cc of 10% and a guy get 0.5\" from 30cc of 30%.
Basically I think higher concentration usually provides slightly more volume, but is more solid and thus more likely to cause aesthetic issues. So is it worth the extra risk? It seems that second treatments often yield very small gains, so are they worth the risk? I think your starting size (smaller the better) and distribution of the beads in the
PMMA you get (down to pot luck) are the greatest determinants of gains.
I think we need to look at this procedure as an enhancement, not an enlargement. We can\'t simply decide that the answer to penis size issue\'s has been found, because we\'ve found a filler with a decent track record. I think to set goals and keep having the stuff injected until we reach them is dangerous. Lemperle has said the risk increases with both the amount and concentration of
PMMA. Maybe it would be better if we were all just greatful an enhancement is available, rather than feel dissapointed it can\'t give us all what we want. This time last year, if you wanted a similar gains to what you\'d get from a more sensible approach to
PMMA, you had to pay $10,000 for Belloderm, and got through all the risks of surgery and then months of recovery. A year ago guys wanting 1\"+ gains didn\'t really have any sensible options and I\'m not sure that has changed. Obviously there will be
PMMA success stories with guys gaining over an
Inch, but given we don\'t know how this stuff is going to pan out longer term in the penis, should we be risking injecting so much for the limited gains one gets due to severely diminishing returns? We could well find that due to the amount of extra product needed and higher concentrations, that the risks involved with gaining an
Inch are 4 or 5 times those involved with gaining 0.5\".